Healthcare Provider Details

I. General information

NPI: 1407776511
Provider Name (Legal Business Name): ESTORIL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10151 LARAMIE AVE
CHATSWORTH CA
91311-3418
US

IV. Provider business mailing address

10753 LURLINE AVE
CHATSWORTH CA
91311-1634
US

V. Phone/Fax

Practice location:
  • Phone: 818-802-3203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN AQUINTEY
Title or Position: CEO
Credential:
Phone: 818-802-3203